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New Generation NCLEX Questions | 2024/2025 Edition – Real Exam-Style Questions with Verified Answers (100% Correct | NGN Format | Graded A+)

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This resource includes a comprehensive set of Next Generation NCLEX (NGN)-style questions specifically designed for the 2024/2025 NCLEX-RN/PN exam format. All questions are based on clinical judgment case studies, bowtie items, and stand-alone questions, reflecting NCSBN's latest item types. Each answer is 100% verified and correct, helping nursing students prepare for the high-stakes licensure exam with accuracy and confidence.

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NEW GENERATION NCLEX QUESTIONS FOR 2024 EXAM
All Answers are correct. All the Best!




New NGN Question Formats:
Matrix multiple-choice
Matrix multiple-response
Multiple-response: Select all that apply
Multiple-response: Select N
Multiple-response: Grouping
Drag-and-drop: Cloze
Drag-and-drop: Rationale
Drop-down: Cloze
Drop-down: Rationale
Drop-down: Table
Highlight: Text
Highlight: Table
Bow-tie
Trend


The New Gen Nclex has 150 questions but only 135 questions are scored.

Matrix multiple-choice:
Question: A nurse is caring for a patient with diabetes. Which of the following
actions should the nurse take when administering insulin? Select all that apply.
A. Verify the correct dose with another nurse.
B. Administer insulin via intramuscular injection.
C. Monitor the patient's blood glucose level.
D. Check the expiration date of the insulin.


1. Answer: A, C, D.
Matrix multiple-response:

,Question: A nurse is caring for a patient with hypertension. Which of the following
lifestyle modifications should the nurse recommend to the patient? Select all that
apply.
A. Limit sodium intake.
B. Increase physical activity.
C. Reduce caffeine intake.
D. Avoid alcohol consumption.


2. Answer: A, B, C, D.
Multiple-response: Select all that apply:
Question: A nurse is assessing a patient who is receiving chemotherapy. Which of
the following symptoms should the nurse report to the healthcare provider? Select all
that apply.
A. Nausea and vomiting.
B. Fatigue and weakness.
C. Hair loss.
D. Dry mouth and difficulty swallowing.


3. Answer: A, B, C.
Multiple-response: Select N:
Question: A nurse is caring for a patient with a history of heart failure. The patient's
weight has increased by 5 pounds over the past week. Which of the following actions
should the nurse take? Select 2.
A. Increase the patient's diuretic dose.
B. Restrict the patient's sodium intake.
C. Increase the patient's fluid intake.
D. Administer oxygen therapy.


4. Answer: A, B.
Multiple-response: Grouping:
Question: A nurse is caring for a patient who has just undergone surgery. Which of
the following interventions should the nurse take to prevent complications? Group 1:
Respiratory interventions. Group 2: Circulatory interventions.

,Group 1:
A. Administer oxygen therapy.
B. Encourage deep breathing and coughing exercises.
C. Use an incentive spirometer.
Group 2:
D. Apply compression stockings.
E. Monitor vital signs.
F. Administer anticoagulant therapy.


5. Answer: B, C, D, E, F.
Drag-and-drop: Cloze:


6. Question: A nurse is caring for a patient with a new diagnosis of diabetes.
Drag and drop the steps for checking blood glucose levels in the correct order.
7. Wash hands.
8. Insert test strip into the meter.
9. Prick finger with lancet.
10. Apply blood to the test strip.
Read and record the blood glucose level.


11. Answer: 1, 3, 4, 2, 5.
Drag-and-drop: Rationale:


12. Question: A nurse is caring for a patient who has just undergone a total hip
replacement. Drag and drop the interventions in the order of priority.
13. Administer pain medication.
14. Encourage the use of a continuous passive motion (CPM) machine.
15. Apply ice to the surgical site.
Assist the patient with ambulation.
Rationale:


16. Answer: 1, 3, 2, 4. Administering pain medication is the first priority, followed
by applying ice to the surgical site to reduce swelling. Encouraging the use of

, a CPM machine can help prevent blood clots. Finally, assisting the patient
with ambulation helps promote healing and prevent complications.
Drop-down: Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for due to the side effects of the medication.


17. Answer: neut
Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for neutropenia due to the side effects of the medication. The nurse should
monitor the patient for signs of infection, such as fever, chills, and increased white
blood cell count.


Drop-down: Rationale:
Question: A nurse is caring for a patient with heart failure. The patient is prescribed
furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of
the following adverse effects?
Answer Choices:
A. Hypotension
B. Hyperkalemia
C. Tinnitus


9. D. Bradycardia


Rationale:


Answer: A. Furosemide is a loop diuretic that can cause hypotension by decreasing
fluid volume and blood pressure. The nurse should monitor the patient's blood
pressure and electrolyte levels, especially potassium, which can be depleted by the
medication. Tinnitus and bradycardia are not common adverse effects of
furosemide.


Drop-down: Table:

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